MEDICARE: CESAR I VARGAS QUINONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	12045	PR

General Provider Information

NPI Number	:	1073599809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR I VARGAS QUINONES MD

Provider Business Mailing Address
First Line	:	18 URB RAHOLISA GDNS
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-2418
Country	:	US
Telephone Number	:	787-280-9161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 AVE EMERITO ESTRADA
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-3026
Country	:	US
Telephone Number	:	787-280-9161
Fax Number	:	787-926-0047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	06/03/2022

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